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RC-10-239 tN59I3' gi Miami Shores Village r a 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 r " Phone: (305)795 -2204 f 0�...• s ��YfTrFr r oRi ► " yf Expiration: 081291201 Project Address Parcel Number Applicant 85 102 Street 1131010180080 Miami Shores, FL Block: Lot: HMAYAK INTOYAN Owner Information Address Phone Cell HMAYAK INTOYAN 85 NW 102 ST MIAMI SHORES FL 33150 -1228 Contractor(s) Phone Cell Phone Valuation: $ 7,000.00 HOME OWNER Total Sq Feet: 100 Approved: In Review For Inspections please call: Comments: (305)762 -4949 Date Approved:: In Review Available Inspections: Date Denied: Inspection Type: Type of Construction: KITCHEN REMODEL Occupancy: Single Family Drywall Stories: Exterior. Final Front Setback: Rear Setback: Framing Left Setback: Right Setback: Insulation Bedrooms: Bathrooms: Plans Submitted: Certificate Status: Certificate Date: Additional Info: Bond Retum : Classification: Residential Fees Due Amount Invoice # Invoice Total Amt Paid Amt Due CCF $4,20 RC -2 -10 -37062 DBPR Surcharge $0.50 $283.20 $283.20 $0.00 Education Surcharge $1.40 Notary Fee $5.00 Permit Fee - AdditionstAlterations $210.00 Radon Surcharge $0.50 Scanning Fee $6.00 Submittal Fee $50.00 Technology Fee $5.60 Total: $283.20 Building Department Copy March 03, 2010 2 s Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 135699 Perm Number: RC -2 -10 -239 Scheduled Inspection Date: March 04, 2010 Permit Type: Residential Construction Inspector: Bruhn, Norman Inspection Type: Final Owner: INTOYAN, HMAYAK Work Classification: Kitchen Cabinets Job Address: 85 NW 102 Street Miami Shores, FL Phone Number Parcel Number 113101018008 Project: <NONE> Contractor: HOME OWNER Building Department Comments KITCHEN CABINET REPLACEMENT Inspector Comments Passe Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 03, 2010 For Inspections please call: (305)762 -4949 Page 6 of 18 Miami Shores Village � g G%IIV3 Building Department FEB 1 2010 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No. 10 _95 PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: 1 Owner's Name (Fee Simple Titleholder) (1*7 -0 :baV 1 1 dq N Phone # 30 Owner's Address _ City i �70„i State / —ill Zip 33 3 Z Tenant/Lessee Name Phone # Email Job Address (where the work is being done) /OL S �-- City Miami Shores Villa County Miami -Dade Zip 3211 � O FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company Name Co il �:D t qV ; ��,� Phone # _? ©) 0 � � � Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Contact Phone ;2 [9 G 4, 0 / E -mail Architect /Engineer's Name (if applicable) Phone # , W Value of Work For this Permit $ S pare / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ✓ New ❑ Repair/Replace. ❑ Demolition Describe Work: El (_ / C 4 4 8 /r✓G ' * * * * ** F ees * * * * * * C9c7 Submittal Fee $ — Permit Fee $ � CCF $ (A'PY0 CO /CC $ Notary $ V " Tramin /Education Fee $ I • Technology Fee $ ' Scanning $ C Q' Radon $ U DPBR $ Bond $ Double Fee $ Violation date: n Structural Review. $ Total Fee Now Due $ O2 ) •OCR See Reverse side Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address 4 City State Zip Application is hereby made to obtain a permit to do the work and i t a Us iidiG ���� ' or installation has commenced prior to the issuance of a permit and that all work 1 4 � �� to e 1 laws regulating construction in this jurisdiction. I understand that a separate permit must be secured fOr'ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will no approved and a reinsp5ptionfee will be charged. Signature Signature Owner or Agent Contractor The fore oin instrument was a owledged before me is The foregoing instrument was acknowledged before me this day of ' 20 JG b V I t6Mday of 1 20 , by I who) lEk personally o n to me or who has roduced who is personally known to me or who has produced entification and who did take an oath. as identification and who did take an oath. NOT RY LIC:v" NOTARY PUBLIC: / J B Sign: ' ct' +� Sign: Print: ,.�� Print: My Commission Expires: ,GV My Commission Expires: APPROVED BY �/ Plans Examiner Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) r 7. 1 understand that it Is frequent practices of unlicensed persons to have the property owner obtain an caner- builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner Ilder, may, be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully ad as an owner- builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initial 8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not rwrses to perform the work being done. Any person working on my buildhg who s' licensed must work under my cgrect supervision and must be employed by me; whibIt means that l `'must comply with laws requiring the withholding of federal income-tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide, workers compensation for the employee. I understand that my failure to follow these may subject to serious financial risk. Initial- 9. 1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable lava and requirement that govern owner- builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial 10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of°Revenues. I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or h JMrww.m I walicen e.com(db rl ro)cilb indok.h Ihifif 11. I am aware of, and consent to; an owner- builder building permit applied-for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address. Initial- 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the inform ' at I have provided on this disclosure. Initial Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may, be in civil court. It Is also important for you to understand that if an unlicensed contractor or employee of an individual or firm Is injured while working on your property, you may be held liable for damages. If you obtain an owner- builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and retumed to the local permitting agency responsible for issuing the permit A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged :before me this day of 20 By _ - 0 % ho was personally known to me or who has Prod d there License or v a identification. o -V OWNER NOTARY I otrt� �A �+ I ' 1llfiliami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDERDISCLOSURE ff ffEMENT NAME: DATE: ADDRESS: _ AAV /0 1' Co hereby petition the Vil* of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, KS 4$9.103(7). And I have read and understood the following disclosure statement,, which entitles me to work as my own contractor, I further understand that I as the owner must appear in person to complete all applicad". State Law requires construction to be done by a licensed contractor. You have applied fora permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one- family or two-family residence. You may also build or improve a commercial building at a x:ost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. It may not be built for sale or lease, if you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease; which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with - holdings tax and provide workers' compensation for that employee, all as prescribe by law. Your construction must comply with all .applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I understand that state law requires construction to be done by a licensed contractor and have applied for an owner - builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. Initial 2. 1 understand that building permits are not required to be signed by a property cemer unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial 3. 1 understand that as an owner builder, I am the responsible party of record on a permit . 1 understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the contractor is required by law to be licensed in Florida and io list his or livens on Permits and contracts. Initial 4. i upderstand that I may build of improve a one family or tdo-family residence or a farm outbuilding. I may also build or "improve a commercial f ;the costs do not exceed $75,1 0. The building or residence must be for my use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I bullt listed Ily improved it for sale or lease, which violates the exemptlgn. 5. 1 undersWgd4hat,- as the.ovM-,bwlder,.i mirstpmvide direr, orsite supervlsion of the construction. ' Initial G. e I undedstand that I matrhire an unlicensed person to ad as my contractor or to supervise persons working on my building or Once, it is my 110*1110ility to ensure that the person whom I employ have the license required by law and by county or mu icipat ordinance. a Initial s FEB 17 2010 f4 01 Kx I-- 5,mv jr r r PE F N u ' 7 Miami Shor Village DATE ^� n ZONING DEPT BLDG DEPT SUBJECT TO COMPLIANCE WITH All FEDERAL STATE AND COUNTY RULES AND REGULATIONS O o v J f 0 0 �� j a t s; r7 2 V ))Vp -V �,,�� �- ,° r Miami Shores Village ) 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000; n s r �. `" Phone: (305)795 -2204 f 3�: 93X3 Expiration 1 Project Address Parcel Number Applicant 85 102 Street 1131010180080 HMAYAK INTOYAN Miami Shores, FL Block: Lot Owner Information Address Phone Cell HMAYAK INTOYAN 85 NW 102 ST MIAMI SHORES FL 33150 -1229 Contractor(s) Phone Cell Phone Valuation• $ 1, HOME OWNER Total Sq Feet: 100 Type of Work: electrical For Inspections please call Additional Info: KITCHEN REMODEL (305)762 -4949 Classification: Residential Available Inspections: Inspection Type: Final Meter Box Alteration Relocation Fire Alarm Service Change Underground W. W. Fees Due Amount Invoice # Invoice Total Amt Paid Amt Due CCF $0.60 EL -2 -10 -37127 DBPR Surcharge $0.50 $160.60 $160.60 $0.00 Education Surcharge $0.20 Notary Fee $5.00 Permit Fee - Additions/Alterations $150.00 Radon Surcharge $0.50 Scanning Fee $3.00 Technology Fee $0.80 Total: $160.60 Building Department Copy March 03, 2010 2 Miami Shores Village % IFEB Building Department 2 5 201 10050 N:E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BY: •••••••••••• INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No. PERMIT APPLICATION master Permit No. — OZ FBC 2011 Permit Type ELECTRICAL. Owner's Name (Fee Simple Titleholder) 05 - 'DAV) j 144 hone # 30 f 0 / Owner's Address g Al („ J / 0 Z 15 - 11 State J Zip .3,3/3 Tenant/Lessee Name Phone # Email l© Job Address (where the work is being done) 'Am ,(/ �S 2- Q City Miami Shores Villaize County I&Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company Name )n Phone Contractor's Address City State Zip Qualifier Name - Phone # State Certificate or Registration No. Certificate of Competency No. Contact Phone E -mail Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: ❑Addition Alteration ❑New ❑ Repair/Replace El Demolition Describe Work: a Submittal Fee $ Permit Pee $ P � ®�mo CCF $ 0 _ CO /CC $ Notary $ Training/Education Fee $ 0 - a p Technology Fee $ 0 Scanning $ Radon $ 'S DPBR $ O Bond $ Double Fee $ Violation date: 11 Structural Review. $ Total Fee Now Due $ t' (00 See Reverse side -� Bonding Company's Name (if applicable) Bonding Company's Address City State zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip _ _ Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will'be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the ,first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection wi o e ap and a re- inspection fee will be charged. Signatur Signature Owner or Agent Contractor The forego' g instrument was ac owledged before T PI The foregoing instrument was acknowledged before me this day of ZO by day of 20 _, by , ,,who is p onall known tom or who has p oduc who is personally known to me or who has produced =1h' acation and who did take an oath. as identification and who did take an oath. NOTAR P LIC: NOTARY PUBLIC: l Q,. Sign: ,� Sign: Print: ' 1 3 1 ;iAPrint: My Commission Expires: � y 45 0 6 My Commission Expires: W t. , v" , , ��'STa' 8t3r3e3eY�3r4nY9e9e9 :Y3ekfrlrak9c4nY : YYYsY9r3r3eY9eAr9FY���k_ dric9eae3eaY4eatcaYY9: 3e3e3czUsFY�IrstrsYk�3e3e3e3e4edcanY9rdrFroYYY�: Ytedi3e3c3e9e�F3c�ise9e3c :Y9ctrde9c+rsYY9ntr3e49r 6 APPROVED BY ��- �✓''�� Plans Examiner zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06 /1012009) Miami Shores V illage Building Department ' — 10050 N.E.2nd Avenue L � Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: �JN DATE: ZS� /O ADDRESS: /y/ Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entities me to work as my own contractor, I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied fora permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or Improve a one - family or two - family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. it may not be built for sale or lease. if you sell or lease a building you have built yburselFarithin one year after the construction is complete, the law will presume that you built for sale or lease, which Is a violation of'this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.CA and with - holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I understand that state law requires construction to be done by a licensed contractor and have applied for an owner- builder permit under an exemption from the law. The exemption specities that 1, as the owner of the property Wed, may act as my own contractor with certain restrictions even though I do not have a license. Initial 2. 1 understand that building permits are not required to be signed by a property owner unless he or sty is res ible for the licensed and is not hiring a licer contractor to assume responsibility. Initial 3. ! understand that, as an owner builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the contractor is required by law to be licensed In Florida and to list his. or license on permits and contracts. Initial 4. 1 understand that I may build or improve a one family or two-famtiy residence or a farm outbidding. I may also build or - improve a commercial building if the costs do not exceed $75,000. The building or residence 'must be for my use or obcupalhcy. It may not be built or substantially improved for sale or lease. If a building or residence that 1 have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or improved it for sale or lease, which violates the exemption. Initial 5. 1 understand that, as the owner- builder, I must provide direct, onside supervision of the construction. Initial 6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. Initial 7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner - builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner - builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowners insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initia �L 8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done. Any person working or: my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow these may subject to serious financial risk Initial_C1� 9. 1 agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and requirement that govern owner - builders as well as employers. l also understand that the Construction must amply with all applicable laws, ordinances, building cedes, and zoning regulations. Initial 10. 1 understand that I may obtain more information regarding my obligations es an employer from the Internal Revenue Service, the United Stag Small Business Administration, and the Florida Department of Revenues. I alto understand that t may contact the Florida Construction Industry Licensing Board at 850.487.1395 or htki: /hvww.myfloddeRcense com/db /Drolcilbrin I Initial 11. 1 am aware of, and consent to; an owner - builder building permit applied for in my name and understands that I am the party legally and financially responsible for the prod construction activity at the following address: Initial 12. 1 agree to notify Miami Shores Village immediately of arty additions, deletions, or changes to any of the information 1 have provided on this disclosure. Initial Licensed contractors are regulated by laws designed to protect the public. if you contract with a person who does not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may to in civil court. It is also important for you to understand that if an unlicensed contractor or employee of an individual or firm 1s injured while working on your property, you may be held liable for damages. If you obtain an owner - builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is property licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible for issuing the permit A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this c9s _ day of 20. B who was personally known to me or who has Produce ere License or n ' cation. t NOTARY 0 4 w y; (gyp X33 k`�� ltit�p • ��� � �1�� 23, Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 r - nspection Number: INSP- 136429 Permit Number: EL -2 -10 -295 Inspection Date: March 03, 2010 Permit Type: Electrical Residential Inspector: Devaney, Michael Inspection Type: Final Owner: INTOYAN, HMAYAK Work Classification: Addition /Alteration Job Address: 85 NW 102 Street Miami Shores, FL Phone Number Parcel Number 113101018008 Project: <NONE> Contractor: HOME OWNER Building Department Comments Inspector Comments Passed I/ Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. For Inspections please call: (305)762 -4949 March 03, 2010 Page 1 of 1